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EVANGELA DILLARD
Hospice Care, Community Based

NPI Profile for EVANGELA DILLARD in SAINT PETERSBURG, FL.

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Contact Information

EVANGELA DILLARD
10800 BRIGHTON BAY BLVD NE APT 7308
SAINT PETERSBURG, FL  33716-3496
 Phone: 727-564-7769
 Fax: 727-800-5144
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

 251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for EVANGELA DILLARD · (Female)

NPI Number 1275049561
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2017
Last updated 12/21/2017 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 17438
  • FL Medicaid 80-0871218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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